Provider Demographics
NPI:1427284116
Name:TODD, ASHLEIGH ELIZABETH (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:ELIZABETH
Last Name:TODD
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 112
Mailing Address - Street 2:
Mailing Address - City:EMMA
Mailing Address - State:MO
Mailing Address - Zip Code:65327-0112
Mailing Address - Country:US
Mailing Address - Phone:816-863-0200
Mailing Address - Fax:
Practice Address - Street 1:3333 W 10TH ST
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-2113
Practice Address - Country:US
Practice Address - Phone:660-826-2118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009011815235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist